2024.) >> on wednesday, july 10, 2024. the time is 9:01 a.m. >> >> this meeting comment. members of the public participating remotely may access the meeting and participle-ate remotely by calling: >> public comment call-in:1 (415) 655-0001 / meeting id: 2484 065 3563 member of the public may address the commission for up to three minutes per item

to the queue. the system will notify you when you are in line. callers will hear silence when waiting for your turn to speak. operator will unmute. >> you may also watch live at www.sfgovtv.org. roll call. >> vice president fraser present. >> vice president fraser present. >> commissioner nakajo present. >> commissioner feinstein present. >> commissioner collins. >> chief of the department jeanine nicholson, chief of department. has been excused from this meeting vice president

fraser will read the land acknowledgement. >> unceded ancestral homeland of the ramaytush (rah-my-toosh) ohlone (o-lon-ee) who are the original inhabitants of the san francisco peninsula. responsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. elders, and relatives of the ramaytush ohlone community and by affirming their sovereign rights as first peoples. >>

>> >> >> >> >> >> necessarily constitute agreement with or support of statements made during public comment. >> office of the inspector general at the point any public testimony. >> nobody on the general public comment and i don't see anyone approaching the podium. >> >> item >> item >> 3. approval of the minute: discussion and possible action to approve meeting minutes.• minutes from special meeting on november 13, 2023. >> fellow commissioners any discussions or questions or a

motion um, to approve the minutes of november 13, 2023. >> i second. >> i voted, aye. >> sure. >> i oh, i don't know if you were present commissioner. >> yeah. but i just- >> (multiple voices). >> i have to have november 23rd, too, and that was a long time ago. >> yeah. it does yeah. i think- >> (multiple voices). >> off the right commissions i mean commission meeting minutes. >> the case- >> (multiple voices). >> okay. >> okay. all right. sorry forgive me. >> yes. >> >> (multiple voices.) >> it is. >> yeah. i don't think you were present. >> i was not. >> thank you. >> how do i

vote commissioner nakajo (unintelligible). >> unanimous we approve those minutes of november 13th madam secretary. >> commissioner feinstein i am recusing myself i was not present. >> me, too. >> actually commissioner collins, how do you vote? >> log me in. >> i vote, aye. >> thank you, commissioner. >> testing, testing, test commissioner. >> president morgan madam

secretary any public comment i know we have another minutes to approve the minutes. >> second. >> there is no public comment on the public comment line and i don't see anyone approaching the podium. >> minutes from minutes from regular meeting on june 26, 2024. >> okay. sounds like that was the last minutes of fellow commissioners any questions or discussion of the minutes for june 26, 2024, if not we move we approve the members minutes thank you, commissioner feinstein. >> he can second. >> how do you vote? >> i vote, aye. >> commissioner collins i vote, aye. >> and vote, aye. >> as well commissioner nakajo

how do you vote? >> sounds like it is unanimous madam secretary. to approve the minutes for june. >> motion passes. >> thank you. >> >> item >> item >> item >> item june 26, 2024, including budget, academies, special events, communications and outreach to other government agencies and the public. >> good morning president morgan vice mayor arserio and good morning commissioners and to present for first comments from the chief

for the jeanine nicholson, chief of department. june was pride. >> thank you to everyone that tenant and especially the fire department was as usual and so everyone was excited. budget continued to pace with the final authorization through the course of all the tremendous work and we escaped a large cut and we approved the mayors recommendation and the budget was approved and yesterday, i know that fails inside of july but the chief reported out another command staff retreat that was session planning and transition on this is an election year to say administration and it is applicable but where we are in the ongoing initiates and the

same thing accomplished under the chiefs tenure so we've okay with that and the chief is at fire scope right now and a little bit of smoke so we wish her well and but she's doing great work down there so we can go to the power point. >> operations report for the month of june. >> statistically it was fires by 10 percent down but a man and woman number of 16 for working fires and no greater alarms in this report and for the staff again have the table that the lovely table that chief prepared for us and the last entry that is listed as wildly delta this

could quality if another timer as a three acre brush fire that was destroyed instructors next to a park and a narrow draw caused by fireworks but we were on the air fighting other brush fires including the mini pumper and that was the large fire that was, you know, sewer pressed quickly but another great work by the san francisco fire department a greater alarm this month it is my duty to talk about first with the pg&e drill that was on the 25 of this month

and chief thompson is our mainly liaison to the pg&e relationships and keeps them strong and very relarge the largest functional drill pg&e has had we have a great relationship and the chief was not able to attend i was was out of the city that day but she saw the operations of pg&e and the san francisco fire department and many, many great evolutions by the pg&e staff and it represents a major catheter in the area a transformer down and wires down and nobody had information prior to the drill

they tread it like an event like what would i do on the day you have is major infrastructure damage and damage of utilities and multiple rescues to the treasure island had drafting picks to make sure on the ride to see pg&e was prepared for the first response and the downed line we effected a rescue of some pg&e members. and a significant amount of pg&e overhead came and the chief can speak to it but our new year executives were well-received sweet spot future and this relationship keeping it strong

has led to our ability to quickly litigate our fires we had related to the harper and over the years an event to maintain the relationship and keeps the resources we need to assist as available and the chief is working to replace the assistance of penalizing and maintain the scheduled bond by the relationship. >> this is june. if you're unaware i did cover mutual aid. but the mutual aid season the first season for wildland response team in california has changed very early for us to be sending out strike teams and

task forces to save california. and had deployed to the point fire to the telling is a fire and had people out four weeks and weeks on end. but the calls continue to come in. nearly daily and this will be - from, you know, from the magic of a buses each year currently have united assigned to the shelly fire and i'll go through and put the terms in the power point and what we do is we develop either a strict team or a task force to send out resources a strict team is 5 that units of the same type you can see in the picture

generally they are small tanks fire engines that can fill a multitude of patrol and very, very verse tally and our preference is to send all 5 of them out the strike team throughout the city they work together. and alternate will be the term rainbow strike team that will be if we have to constituent this type strike team with other cities we did that in the recent past we are currently assigned to a rainbow strike team and other oes strike forces in the region region to and the task force we go out with the units to accomplish the

task they have a - single resource one of the apparatus we are doing in the past years or two years particularly to develop the management team we send people out to manage the residential to the incidents and have a member out what is called a situation unit leader this is some of the plans we developed all the maps and all the right away information. and reports out to fema and the federal government and the status that will definitely assist us if we ever have a disaster response in san francisco and they get back to the agency so we're having the program moving forward even it is unfortunate that somebody is suffering from the past. but we're assisting san francisco is

also here to help and that's the last of slides. >> i'm trying to keep it brief and i want to point that out the staff if we have to have pop up and leave please excuse them we have a ton of things going on and the task force the chief is off sick from age 5 the complaints are an uptick in the winter of 2023 which we pointed out there were new code compliant and a number of complaints is reaching the basin on page 9 the page point to work on the operations chief is our r-1 and two splishgs program a

number of it's been a long time coming. pending inspections but we are bringing that in line with the fire marshall this year and page 13 our interaction with the sfmta and the fire marshall we have - part of that streamlining the relationship with the previous two operations and the mayor's office and the controller's office trying to come up with more streamline and administrative process for approval of bike ways and slow streets and parklets all the things we need to task and moving forward in the nitty-gritty of it now to where

we're talking about street design elements what we can improve and this will be the hardest for this project in the next month or two on page 15 i want to point out the fire marshalls work with the accessingy dwelling units with the legislation that went through the state last year. the clearance for the fire operation for the process in the rear units and will be approved the 52 units to date the fire marshall office assists with the housing units in san francisco and for the growth. on page 18 this is a new entry the bureau

fire investigation or arson unit open investigations and completed the fires investigations including one arrest last year. moving on to - we have so many stuff to the airport division for marcie for the fire scope hopefully spending a lot of time with the chief. and the non- fast foam project all the members of airports are moving through training with dazzling for the worst and coordinating with the training. and we are and resumed

the cap drills with the unit responding to the airport to simulate airway disasters or some other major event at the airport and the standard out in the month of june to conclude a mercy operations center for that is entirely staffed by the emergency management and the division of training always buses and chief had a number of milestones in the month of june. the one hundred and three 1 academy i believe they are mostly delayed if they're hurt sometime in the month they're on probation and class of the 20th century cites graduated and one

hundred and three 1 academy started with 54 and their third week and progressing. and this is numbers all those numbers add up to one hundred and 2 probationary members for the management challenge for our operations chief and we are trying to make that as brief as possible to having a significant people of staff that requires extra attention and on a typical work today but the department we driven down overtime and management over time and their operations and the mode you will if you get a chance excuse me - during the week tremendous live fire module with the unites been an instagrams and socials but we

can help to coordinated that with you and the city college you're assigned and the chief sent that there with the program and get college credits and cost recovery and then we on page three 1 see if we have anything that is not covered that is a state fire training curriculum is trains our training in alignment with national standards the first of many classes was great to have 28 members complete that and trying to build out as many of them as

we can and instructors and have more offering will be about 4 offerings and state and fire training this year but in the future like to have them monthly of a all possible and more to follow. >> and then lastly nope not lastly, i want to address something on page 37 the education drill and it gets accomplished a tool for the truck companies had more guiding documents for our education of the department and then a number of young community-based getters members have visited and looked to getting in manual to you and this is the type of work that

will drive the committees and in the last year um, we will have a guiding drive this type of training and then n e r t was very active and it has taken on has taken that on wholly and i look forward to this level of training moving forward and see two pages of training for n e r t that increases this in the city of san francisco and thank you for your time any questions? >> madam secretary at this time in any public comment? >> i see one public comment on the public comment line. go ahead and unmute yourself caller would you like of a make any

public comment? >> no public comment from the caller and i - i don't see anyone approaching the podium. >> hello commissioners any questions for the chief? >> vice president fraser. >> um, great report. >> wanted to let everyone know a was successful and marked with the public agencies that was fun and the police department and animal care and control in uniform and the crowd was very enthusiastic in support of our

you are computes and i was marching in three prayed for many years one the most upbeat calibers but that was great to thank for everyone that showed up that was hot and 240er7 full so god bless you all. congratulations on the public health and the pg&e drill that is important stuff. i just wanted to ask a question maybe there - well, let me ball park on july 2nd i saw my house was full of smoke and smelled like ash and burning wood that was a fire on the exit i'm not sure on both sides of the free by my neighbors were running up the street and i went outside and my

neighbors call 9-1-1 and were on hold for so long i went to station 29 you found a disturbing and they were there and that was great. my concern is in light of our conversation last week about the civil grand jury well 9-1-1 call so lucky we live close to a couple of fire stations i want to get that on the record and the the other thing i wondered about the early deployment the dates it seems to me didn't know so thank you for confirming that i guess we can just accept that this is our new reality we're always here i appreciated that and one other

thing you mentioned on page 11. if i can find it - on the report oh, my question how many of these violations - seeing the comments on the report and honestly have not pay attention to it since i've been here but the last thing is that typical? or get a lot of continuouss or something when they get it resolved that's my question how do we point it out thanks again for the report a great job. >> i'll address that with the fire marshall. who is not with us today but get a chance to remedy without sanitations but will get back with you.

>> appreciate that. >> thank you very much. president morgan and chief for the report a couple of comments. and i was pleased to hear when you gave the m.d. a update report on how we were - are presently breaking in a harmony cooperative manner with no issues at that time? and there are still points of desegregation but you are relationship is strong and have a single point of contact with them and the fire department really lack of existence between the two. >> okay. >> somewhere in the back of my

mind i got cash street in the back of my mind in terms of how that is going i will not ask you that and wait until i hear something about that. the major announcement i heard that our budget was accepted we have total will i operating for the next fiscal year or two years is that; correct? >> yeah. no significant cuts but some changes in a couple of positions. and a slight reduction i mean director corso is here but no significant cuts here. >> dr. coso references short update in terms of that dr. direction corso them anxiety in

terms of our operations and wanted to keep this short. >> absolutely good morning. my name is as mentioned we finished our portion of budget had the hearings two separate hearings about the board and fortunate to come to a an agreement and took reductions to the 4 hundred and 50 thousand overview but in impacts those are one time impacts for projects or other things we don't have any facts on the operations or even our commissioners. so that was very good news and three that was a challenging year across the board but the structural issues we're looking at from a fiscal

year a lot of up in the air for us with the elections coming up this fall and still a lot of pieces to be kind of sorted outweigh be objective monitoring and checking prosecute with the mayor's office and unfortunate we the full budget has not been formally adopted but i think a thirty day waiting for that while we're going though the progress at the end of july or first of august but our portion it complete. >> thank you. >> and director corso but the board of supervisors needs to go through they're progress and looking forward to an update on any issues with the board of supervisors on the that's it. >> no, that generally will happen in the hearing time with both departments and the city

departments go to two rounds of hearing and the issues are sorted out with the mayor's office and once the process has been referred bargaining unforeseen circumstances and (unintelligible). >> all right. thank you very much. (coughing). >> a point of reference but i know and in the participation there was a really a couple of days ago in terms of. homeless of with what san francisco jurisdictions will be able to do and just will be curious and watching in terms of how that action will effect us functionally i hear all kinds of discussions and debates on the issues but hear about the

programs and as mentioned quite a bit and in terms of of our departments with the city and county trying to be effective i know that san francisco fire department is part of a that. first response support so again director corso and budget that scenario will be really important as we moving forward thank you for that and one more question chief. glad i brought up this it is identifying did you say presently have 5 teams out there was the number of members and how long do they stay out there and currently only two single resources assigned to the task force and strike team that will be i believe that is 7 people and have one person out as a single

resource. where we deploy our strike team asset that is 17 people that committed strategically can be extended for 21 days we have currently bra a large diverse group of people but out 6 or 5 days. >> okay. thank you for that. >> next speaker. >> and thank you for the providing the duration thought and proud that - responded as well and we're barely in mid-july and also can be anticipated but the last question. >> i hope you can answer that since the fire marshall is not here on page 9 the session is fire alarms keeping areas updated and the violations of

november and there is columns and are you there with the chief can you explain for us what that means? >> so this chart reflects the legislation has been held in abeyance for the fire alarm for the 5 years process. the dates at the end of 2023 were implementation of the program overall so the dramatic increase in the number of notice of violation represent a notice had been held kind of as a grace period during covid and in anticipation of legislation being impacted and acted on

buckets fire marshall office that is why this is a a dramatic bubble there they are steadily moving through this and with the hearing you can see a significant number has been rescinded but the revert to the average when you get to april and may and june that is the standard exponent once you get on a case reporting over that 5 years cycle so just a glut biensz the program being kind of will help. >> abstention through covid crises and after the election of the board of supervisors. >> and one more point of clarification do you think in the areas of a great project

what are we are talking about a timeline for june? >> yeah. this is the need for all multiple residential structures have permitted firearms systems goes back to the fire alarm missions we have years ago and everyone was protected in the structures. >> is that has to do with with motor vehicle alarms. >> it is smoke alarms but also directly relates to the volume of the early warning device but for the residences. >> thank you, very much thank you, very much mr. president. >> i don't have much i want to thank you for your report chief and seems like thank god we

didn't have any major alarms that was a good thing. i would get is this as a little mellow but take it for the summer months and want to commend you guys on the strike teams you guys help with the safety of the county with the fires and the shelly fires or didn't i misunderstood that where is the location. >> they're up in the national forest. >> yeah. i want to thank you, guys for representing to and you helped the other county and the state with the strike teams so all of the coordination the command staff is doing with that and we we appreciate you guys. and other than that i will i don't think i have anything else

thank you for your support and chief in place of jeanine nicholson, chief of department. >> any other questions? >> commissioners. >> commissioner feinstein. >> two just follows up to well, one my fellow commissioner. what - in the fire department can we do if, in fact, someone calls 9-1-1 and nobody answers how can be nobody answers is there nobody there? taking other calls? i mean to me that is something we always have been proud of in the city. and to not have 9-1-1 answered - would - i don't know what it will do to me that's your

emergency someone is having a heart attack or fortunately a brush fire didn't damage or hurt anyone. or damage property what if they have ceremonials and nobody answers that is totally unacceptable. >> what can we do? >> so been a number of concerns at the d.c. related to the a number of our oxen's in the timeframe over a 4 to 6 week timeline and direct examination to a new cad and hiring a representative from san francisco fire department but they have significant challenges and for staffing - i can't speak

directly to the incident i have a call hearing it on the radio and hearing confusion but 9-1-1 calls not being picked up is not okay. >> we receive messages on our phones labeled see cad and they'll tell you about the prior something automobile a lot of dog rescues i guess people are slow to learn that lesson we'll get a notice that when it comes down you have gone to telephonic communication i don't know if this is right or not but my question is really when we get

those notice did that mean 9-1-1 is down too. >> not generally- >> (multiple voices). >> the out only of the 9-1-1 system didn't occur about a month ago but it was relate to a longer technical problems through one of the procedure network not related to cad or d.c. the message issue are not when it goes to manual mode is the radio communication so they're falling it means the computer aided the transition to the little ald. murphy is on the fixture is not on an apparatus can't receive that that goes back to the stone age but for the first agency and

(laughter). >> communicated via radio all staff is changing. >> i certainly appreciate that chief. >> so there is some management of capacity can't get specific information that we normally can a have on cad all we get is the radio. but our response it is - that the communication input side is disrupted in the last two months one time and shouldn't be obstructed ever but in circumstance we had redundancy in the past but used to be other than that an alarm but we are currently relying on the 9-1-1 system and get folks to the communication center.

>> thank you. >> we're running down and knocking on the doors. >> (multiple voices.) >> and, if i have to run down the street that would be the end of me. >> (laughter) >> we did public comment so we'll move on >> report from ems and community paramedicine, deputy chief sandra tong report on the ems and community paramedicine divisions. >> report from ems and community paramedicine deputy chief sandra tong on community paramedicine, deputy chief sandra tong report on the ems and community paramedicine divisions. >> all right. good morning commissioner nakajo and vice president fraser and president morgan and commissioner feinstein. >> commissioner collins. >> deputy chief sandra tong my

apologies for missing last month's meeting. >> as you know chief attended the last fire commission meetings last month and celebrate his last day and a party at station 29 and thank him for the thirty years of service and as a partner and assistant deputy chief so i know we look forward to great achievements in retirement. moving on welcome our new deputy chief he brings r rating of experience and administrative skills and finding of our ems

issues he developed an existing relationship with the ems staff that makes him more better to jump in and did the work and have various parts of this department pretty sure everything he's done. so we're really thankful that he has been interested and been able to get him on and working with the executive chief of ems and administration. to support him in the first fire meeting a a just looking at what we're doing currently where we plan on and prioritize the work with ems happy to have him on board. >> for his first report for ems division to catch up on the

properties and data we're looking at a number of the new plans and initiate to better identify the data will be helpful for us in the presentation. but using what we have in the past looking at our may call volume has been done in april and june a small increase in the average volume and also a notable change in the number of administrations in june with 25 percent reduction we're not sure that is an indication of anything that will look forward to and exploring that further is may was ems week during the month of may 19th through the 21st and work for the past and future the 50th anniversary and the first ems week that was honored those that came before

us and challenge state of the art and raising the bar for the supervisors and a time to look forward and continuing to forge head on the next generation ems professionals and during that week and every week every year celebrate all members 49 and the ems paramedicine members with incredible work and dedication that they bring to the department and for san francisco. and during ems week get treated to meals everyday and provided by the conversation and dem and units fire deployment and firefighters and others. and definitely well-fed during the training. and also during ems week our regular ems

a cemetery and london breed midnight us there to do honor a number of providers ems services during that week. so we had three members from the fire department were honored during that day frank what did you do for providers of the year and that ruled him in saving the life of saw that man perched on a barrel with a nose - and able to at the same time you know what how to call on the radio for help and able to get other people to come and help to

rescue this man and the second award was awarded the 2024 obsolescence in ems and was recognized for her excellence physical ed commitment to education and for being pro-active and supportive paramedic and then have an award for a paramedic kim was awarded the 2024 paramedicine award for the year. and she has just dove in she was a higher we hired during jeanine nicholson, chief of department. and my tenure here and from the get go dedicated paramedic and was all in on community paramedicine and done a lot of paramedic work not only in the field but also as a community outreach person and

one of the founding lifeline people we talked about and this was to honor all the work she's done and the job both think and off the job. >> on june 21st emt with the department held our ceremony and see in a picture on the left and jeanine nicholson, chief of department. giving the oath and i was able to witness all 4 of them graduate the academy that was a different academy with expand from 8 weeks to 12 weeks and was through the, you know, the review and evaluation of our administration jennifer was just looking at, you know, the folks community investment & infrastructure to the did not have experience and some of the

ones in the passive and was a need to provide a little bit more training to provide more, you know, presentations will be helpful for all members of the department we extended that and made a significant difference. and they were able to get more training and entering operations of vehicles operations which is a course that we span over the concurs of a week and driving the ambulances and being more feeling more comfortable with the equipment. and also in the ems division now introducing and in piece of equipment a couple of any pieces of equipment but the most challenging to implement is this new power? been a while in the making and we believe that will be helpful

for all the members to help reduce the manual lifting on a gurney just a challenge and with those we have the list will be more challenging we think having those power generous will operate with a touch of button and changes the way we operate we're used to manual gurneys and we believe setting it up and if we have to carry it up and down the stairs will be heavier but 250 pounds and having to put a patient on it and more people more support and more thinking about how we have to extricate a patient if a scene and have different stakes so all those

combined we believe i know with our doctors will be helpful to help our members. so i'll add this chief back there has been instrumental to revise the training and a lot of new devices. our community paramedicine we had 10 members of the community par mentioned in cohort number 6 finished their academy and graduated in june and the train two weeks of field and one final week of testing and a number of training and spirits our doctors with paramedicine and director and our dph ucsf fields and

graduated on june 28th and that is a milestone so the first training cohorts we conducted first awarded approved community par mentioned train in california. this is that first up significant training that utilize the curriculum we developed in house to help to basically comply with the new state regulations. this is also the first cohort we have had members outside agencies and had 4 members from the fire department in attendance and with that fire chief of ems tenant and the first cohort on the example bs c the international board of special presentations required for the program from the state and that

meant that in the course this course that our captain dan helped to prepare they were able to kind of look at the curriculum that is required from the state and also to develop a curriculum will address all the issues we're tested on the national examine and when we first started to take that down we didn't have an excellent pass rate but the revisions in the curriculum and the - this examine but we now gotten to a place to have us prepared our members. so keeping our fingers crossed. and then just again acknowledgement to captain dana captain was a cohort director this time and with his

leadership ad valorem and working with his staff team lieutenant scott ward and travis and dr. brad with the development of this program so congratulations to all of them. >> and then i think you do get invited to the paramedicine series so in the move may had dr. tony sparks and spoke with the members before the homelessness and what causes it in california. and the subdivision between housing and ems continues to be a driving factor and so him being up to speak on those issues is very helpful on june 25th had annie from the university was able to share some questions and worries

to talk about the book inside california and care for mentally ill and with the ride along with the emt and was able to provide the understanding and talk about the bridge partnerships this is the city bridge program in one of the programs we're talk about the under one and another report but this one was the collaboration between dph may have said with the societies to work on a condemnations identification of gaps opportunity between our r t team and overdose engagement program. so this profile this project is

the poet workflow and the need for community paramedics and work together the micro dozing and from this we will be developing a stream for opportunities to better familiarize them that is a very detailed workflow what happens with someone calls 9-1-1 with an overdose issue and that happens with individuals who are overdosing but not young or not communicated to the new 9-1-1 and the poet team and finally for the data on community paramedicine. in the month of may and then in june we had a decrease in the number of administration over the last couple of months we think that

might be due to the need to refresh the members in the potential for trying to um, talk to a patient into a consideration of the administration and so we're going to develop that training we're putting on and remind to also helping them to better engage with the agencies that are experiencing and feeling for comfortable three training is in the development and we're providing that. i would like to share with you a video we had ems in my report.

>> (video). >> did i um - >> (unintelligible). >> yeah. >> in this you'll see chief as well as jeanine nicholson, chief of department. and our medical

director. >> (video). >> (music. >> we celebrate the hard work and the firefighters and in the department. get out and doing everything it is extremely challenging work and open twenty-four hours and work with every problem in the city and county of san francisco and someone that is (unintelligible). >> are lives in danger or

calling 9-1-1 and a north to meet the challenges with great empathy - two care very much about everyone in the city and they are willing to risk they're lives and health and wellness and say hi. >> thank you for the it's been a long time coming. work that people these members show up and take care of each other and a lot to work out with people and talking about calls and supporting each other and each of everyone so keep up the good work (unintelligible) and never stop learning and never stop (unintelligible) to all of you who do this work every single day and week. thank you.

>> to all the crews auto under out there a lot of numbers coming your way the biggest improvement since i i've worked here with the ems and happy. happy ems week. >> hello, i'm jeremy and your medical trainer this week working everyday and away from home and you are loved ones with those talents displacement and provide high quality treatment and as a citizen of san francisco and in our position and your medical director an honor and privilege to move forward and (unintelligible) thank you, happy ems week. >> thank you anderson i'm here

to wish every one of you a happy ems week. >> all right. that concludes my report. >> madam secretary at that point any public comment? >> i see one caller in on the public comment caller line. >> caller please press star 6 to unmute yourself would you like to make public comment? >> good morning. i'm waiting for this public comment time. >> okay. thank you very much. >> for item 7. >> i don't see any public

comment on coming to the podium. >> thank you, madam secretary. >> fellow commissioners any questions for deputy chief sandra tong report. >> commissioner vice president fraser. >> mr. president thank you to deputy chief sandra tong what a great report things to dive into but i have a couple of on the video congratulations really great video for the office to see. um, the and welcome chief maloy i wish you, you a wonderful time us as time goes on. i had a question about the cardiac arrest on page 3. the item the last item in the column

includes smog called the percent survival is that only have cardiac arrest or resting - so were how many cardiac arrests. >> yes. a result of number of patients that we retaliate and candidate lost in the er and that's the percent from the younger ever cardiac arrest and got exploring on that scale. >> not - for for april not 24 percent- >> (multiple voices). >> at the end of 29 no and um, and the other question i had i loved the term the ultimate safety net it is true and the

other question i had which confuses me a little bit the chart on page 10 the hope the poet and the sort data or chart and where on june it's on page 10 of our report. >> uh-huh. >> oh, the one. >> the big flow chart matrixes oh, that's a flow chart. okay. >> a little hard to follow i will send you a thing that also has the legend why receipts what 1, 2, 3, 4, 5 means. >> i wonder about the hope program and then how our relationship interaction the programs of dph; correct? >> yes.

>> i visibly (unintelligible) a great day we have a close collaboration with the departments so very good really enjoyed your report. >> commissioner collins anything? >> vice president fraser. >> commissioner nakajo. >> thank you president morgan and chief. >> first of all, great captured exactly what you wanted to convey and also want to graduate chief maloy for stepping up for your office and support i wanted to congratulate all your awardees that served. i also i appreciate your narrative in the period and your analysis for the members coming to our

department. i also wanted to acknowledge your speakerer services going on for a period of time but a piece of education and admiring in terms of thank you for your update and curious how that is and how it works and at many point like to hear feedback from our department how it is going xvpt thank you, for the picture of the new ambulance on page 5. and encouraging to see that and particularly impressed with our cohorts with our outside sieshdz and employment of 100 percent that is a major, major when it tells me and my fellow colleagues how

much we're on top of that and you're on top of that and your division and department in terms of the of the constant analysis and training i appreciate chief thank you, very much. mr. president. >> thank you very much for your support and i had a few little questions i hope that is a good sign it is in our hands now for may and june. >> a reflex of number of people in the public that are providing the presentations have to do a diaper dive that is a reflection of the response team right. >> can be yes. >> correct all right. and i want to say i want to commend the emt who did the suicide

prevention. >> yeah. that was amazing and in the right place at the right time and did the right thing. >> francesca and other than that congratulations on the new how many it three. we are putting them into the new ambulances it is the type 1 margin as we're getting in the ambulances i think right now have two in the our current ambulances but still needing need to do more outreach and see new ambulances we are putting the new gurneys in the

eventually all the ambulances will have them and that's the other thing is we have to apply them with the new ambulances that requires that power we are utilizing both but eventually will have gurneys in all of them. >> yeah. very useful tool there and very useful. >> and other than that, i didn't have any questions did um, assistant deputy chief tony maloy wanted to make the introduction. >> yeah. really quick if that's okay? >> good morning mr. president and um, vice president fraser and commissioner nakajo and president morgan and for those

of you who don't know i worked with the commission before and - but 29 years in the fire department i was born and raised in san francisco and went to san francisco city college and university. i have a passion for the city. for this department and for people who stepped up and want to work in ems in the department and honored to serve this city and i looked to making sure the people who are working in ems with the fire department we are also looking after their mental and physical health one of the big reasons to move we know injuries occur but a big step saving our people and what

we're trying to do in this work so excited to be here. and if i have any questions i'm available. >> thank you, chief maloy. congratulations. >> have pictures congratulations chief and thank you. yeah additional information on the power of attorney we pick up a little guy like me (unintelligible). >> i won't be falling down any time soon (laughter.) >> okay. where are we at? >> this will move on do we did the public comment and need to take up public comment again madam secretary. >> no. >> okay. i guess we can move on to next presentation from

employee health dr. steven chang and nurse practitioner stephanie phelps to provide an overview and update on the office of employee health. >> good morning commissioner nakajo and vice president fraser and president morgan and commissioner feinstein and commissioner collins and thank you for having me today. i wanted to say i'm in a new position and building as some of you know i trained in family meditate san francisco general hospital and provided over a decade and really happy to be in the new role it has been a challenge but a good challenge and happy to continue my public services starting 4 months ago i already learned a great deal and

grateful for the warm welcome, everyone has shown and feel privileged to be caring for our members. and today, i'm going to be providing update from my office and here are points that i will be discussing. just a quick review those are our team members. stephanie nurse practitioner stephanie phelps and teresa been instrumental in providing dr. bro can you left and one thing we're refreshing um, with some fresh paint thank

you so much chief mullan for making this happen wanted to make our office a warm and inviting place all members will again through at some point being hired want to make sure that everyone feels welcome and all up cycles furniture and my 4 years old art on the wall and plants from closed down offices in selma so really want to provide a calming environment as as you can see doctors can can be anxiety prescribed and members we're trying to update new experiences. >> and for so - so far this year we have conducted 96

physical examines and 97 and probation examines most of those from the one hundred and 34 beach to the academy and that was a great experience. loved seeing the new getting these commitments started and looking forward to seeing how they grow in their careers and one very important program that we have been working on the annual examine might know pass a house check in conjunction with the division of health and safety and wellness we in your program our members will be seeing pc b for evaluation and should

include lab work and the goal is that our members will have good relationships with their pc p as something is identified will follow-up and not fall there the crack and stay healthy and most members will not have regular contacts with our office we hope the program will maintain their health throughout their careers and retire healthy. one of the most enjoyable parts of my job going on station visits their am able to get to know members and know their needs and who this office can support them that's been especially from the primary care procedure and one way to

fill that void i don't take any sever fizz i went with my 5-year-old son and we're hoping to do so ride along as well. >> working closely with the health and safety and wellness and he's been one of the first people to come to the office to introduce himself and we've as you can see working on the wellness examine and next up working on the fitness program

and helping that tomorrow and planning to start another committee under wellness and illness and wellness and prevention and working closely with the behavorial health units led by captain heather her team provides can compassionate care and happy to work with regular meetings talking about how important members and trying to maintain confidentiality and one of my friends from residentscy is a specialist we're to start around the substance abuse for the members. >> we working closely with our industrial hygienists via zoom and with the general quarters and also will be helping us with the entry data. so a couple of

things we really are looking forward to starting um, are the electronic health records and quality improvement processes. our office is still kurnltd in paper charts for the records and for many reasons including the accessibility and quality of care that is important we move to an h.r. this is an ongoing process and talked about this director corso and the it manager and making this moving forward and we are still talking to a couple of vendors and hopefully in the near future will have one. >> one thing we are also hoping to start as a d qi

process to focus on the population health our fire department members. because again our members are regularly in the office and identifying areas to help them face and some things we are going to be doing optimistic making manual block examines and we'll look at the tv screening and we may look at other areas lake vksdz or status reports need to train our employees to participate in this. >> that's my update thank you for your time and with you like to hear more about? >> thank you dr. steven chang and welcome to the fire department this update was long overdue and finally happy to

hear. yep. >> commissioner collins. >> thank you. >> for your report dr. steven chang i have two questions and one acknowledge you and chief but first can you help me understand the ongoing care of our members? >> how is that provided? are they kaiser permanente or san francisco public safety i public health. >> private through the city most of them have kaiser permanente or blue shield and have moose of cares done on their own. initiated by themselves from their primary care providers if they have one. >> if they have one. >> i'm guessing the electronic health records might speed the

transfer information with any other health providers taking care of our people. >> um, that is a possibility. just our department as the office of employee health we don't necessarily have access to all those health records for their privacy we don't anticipate having that- >> (multiple voices). >> they have access to yours. >> nor do they have access to yours. >> (multiple voices). >> it is usually a health examine. >> so with with annual health examine i have a preservation. as there is from my understanding a history of worry between the office and because it is related to the employment so people are worried about

losing their jobs or taken off duty. so our office is not going to get their medical information that is on there. we're trusting that the primary care providers will do a comprehensive evaluation we have an all what we're expecting and hope to get back a primary care procedure have done the extensive. >> you perform the exams. >> we don't perform the exams. >> all right. what you say health check what is that you actually do? >> we're insuring that members are being seen- >> (multiple voices). >> by their primary care and making sure that it happens south lake like a regular citizen we don't go to the

doctor very often the doctors is taking care of other people- >> (multiple voices). >> so you are a cheerleader for everyone here to see their primary care physician and get checked. thank you. >> my second question is i had a number of um, inquiries from members of the public seeing our postures about firefighters being more susceptible to cancer and there is a because of the hearings i am able to say to the extent that do uniform new turn out here will help but the second question i get how can we help? >> um. >> how can a member of the public i mean with the american

cancer facility or market for the firefighters i mean - what literally is that a point of contact members of the public can help. >> (multiple voices). >> you are correct firefighters are members are at an increase risk for cancer and from smoke and toxins and in their you turns out the changing with the turnover outs and it is important what mayor's office of budget can do elected officials will support initiatives because it costs a lot of money to make sure we have protected equipment as well as equipment that didn't say have cancer causing

materials. >> the chief for the cancer foundation not a direct part of sfrefd through our health and wellness chief but should be a point of contact for support. >> so the foundation and elected officials in the department (unintelligible). thank you. >> and i suppose i can document to the foundation. >> nice to see you. i have when i worked for the cal i was hired as nurse you had to have

an examine from the private physician somewhere but into things were required by the job. like we are offered other things like hepatitis are those things we? we are following osha guidelines to over the screening tuberculous and certain vaccinations and screening requires the forums we allow our members to have their preferences at taking into consideration but like them to do prescreening and get vaccinations but not a requirement and i hate to go dr. but vaccinations are not required?

>> stronger encouraged. >> is that correct? >> yes. >> coming from the primary care and public health. >> so but i do encourage that. >> and also i think having a c qi program is great transition. thank you. >> and with that i hope we're able to capture when we have the data in h.r. but once we know we can reach out to them. >> i appreciate the challenge if for the the primary care has to do that now person in the population of people you are working with and so but are many things you can do to bring someone in to give a talk a wonderful thing to offer. >> and the office looks really

cute. thank you. >> (laughter.) >>. thank you. >> vice president fraser. >> any other questions. >> commissioner nakajo. >> thank you very much. president morgan. >> thank you very much. doctor for doing this presentation and for introducing yourselves to all of us officially just at the point of information i was looking forward to the commission oversight on two members of the department our commission secretary and you are department of physicians nice to have that terminology moved from the doctor's office to the physician do wellness i support that and welcome it. and first of all, right off the bat i enjoy the offers redo and thank you, commissioner collins and i've been in the office many times and god it could use fresh

paint and welcomed warm atmosphere it is inviting and shows me a change and i would like to remark on that and proficient you're doing ride lagoons and station visits. and their son the name of our son. >> joshua. >> 5 years old you said. >> turning 5 did he joys visits. >> we went for 6 months parking the stroller outside and now more interaction. >> and a little plastic fire

hasn't. >> thank you for your wellness expect and for the dhr movement and wonderful to see qi movement my only question we have covid and regular flu shots do you find those vaccines to our department as well as flu shots. >> what new updated covid vaccines are available we can but not required. >> right we offer it but a member is not fired but can get a vaccine. >> they can come to the office and get that or talking about visiting sometimes, we set up different areas that at various stations for them to come and talking about logistics but. >> yeah. i think that was

something that was initialed a good idea for members to come. thank you very much. mr. president and colleagues. thank you. >> thank you. commissioner nakajo so i might have skipped a public comment any public comment speaker card or anything? >> public comment? >> there is nobody raising their hand on the public comment line why see anyone. >> thank you. >> you're welcome. >> thank you for your report dr. steven chang i remembered reading our bio a couple of months ago my mind is cloudy but i recall i have an extensive background and stuff of that nature in medication am i right.

>> i won't say extensive but. >> (multiple voices.) >> i did treat many patients with substance abuse disorders. >> yeah. you yeah. i i mean, i definitely your background is in really special (unintelligible). >> with the resources and glad to have you and want to say welcome. and now is nurse practitioner stephanie phelps available? >> she's not here today, we have appointment scheduled this morning. >> and she would have liked to come. >> okay. >> so well, thank you for your report and nice to see you. and it is position that has big shoes to fill.

>> thank you. >> item 7public comment on all matters pertaining to items 7 below, including public comment on whether to hold items 7(b) closed session. >> i believe we have one caller on the public comment line. >> to make public comment please press star 6. >> caller if you wish to make public comment please press star 6. >> good morning, commissioners can you hear me? >> yes.

>> yes. >> can't recall go ahead and make our public comment. >> this is about 7 b and i was the attorney that represented the appellant for i won't give the parties names but you have likely reviewed the transcripts from this hearing. and i just a brief comment and in that situation um, the appellant was assaulted. he did make an attempt to deescalate the situation. but he did that though he was assaulted and

refused to back up he was punched in the face and resulted in a laceration and required badges over his eyes with that in mind raise the rights to self defense and my client did engage and backed up after he was struck into no defense action didn't take that strike or kickback at the other individuals backed away and i'm sure you've seen the photos again, was undisputeable was assaulted in this situation and victim. i would ask you to consider and debate over that matter mow client has no prior

discipline and was received he had no issues with upper management or type all of a sudden behavior and the fire department is a great place to work and my client enjoys his job and wishes to promote and in the coming years with that in mind our task force take over is simple i reduce you roach the finding violence in section three 9018 impacted interest in front of you and move forward and that removed from your finding as a policy violation.. thank you for your time. >>

(bell ringing) madam secretary any other public comment? >> no anyone approaching the podium for public comment. >> >> 7. possible closed session regarding personnel matters. matters. may hear items 7(b) in closed session pursuant to government code section54957(b) and administrative code section 67.10(b). >> okay. a motion to go to closed session. >> i move we go to closed session. >> i vote, aye. >> commissioner nakajo.

>> commissioner feinstein (in closed session). >> someone make a motion. we are back in open session and the time is 1146:00 a.m. >> um, report on action taken in in closed in closed to disclose any or all discussions held in closed session, as specified in san francisco administrative code section 67.12(a). [action item]. >> commission carefully considered the action and legal action in the matter by unanimous vote the commission found - um, to uphold the 10 day

suspension. and uphold all charges. >> the department is instructed to prepare proposed of these of a fact should provide to firefighter arcs and the office is commission will approve the fact at a later meeting. thank you. >> vote to elect whether to >> vote to elect whether to to disclose any or all discussions held in closed session, as specified in san francisco administrative code section 67.12(a). [action item]. >> you'd like to motion to not to disclose um, the deliberations. >> second.

>> right. right. >> (unintelligible). >> i vote, aye. >> how do you vote? commissioner collins, commissioner nakajo, aye. >> motion is unanimous. >> >> 8. adjournment. >> we have come out of closed session oh, all right. i'd like to adjourn this meeting

[music] >> really special, because of the rich history of service and that service is rooted in resident centered care. addressing the needs of the whole person. it served generations of people probably in some pretty dire times of need. for more then 150 years, laguna honda has sort of woven itself into san francisco's history. when we heard that laguna honda didn't regain our certification, our hearts sank. >> in april 2022, the center for medicare and medicaid, cms,

took away laguna honda participation in its program, which is extremely devastating. participation in the cms program is the way laguna honda is funded and able to keep its doors open. laguna honda takes that very seriously and we report incidents appropriately, and cms and [indiscernible] come out to review those facility reported incidents. what happens during that is enforcement cycle begins and the cycle is only 6 months, so any time there is a deficiency noted you have to train all your staff and the expectation is you get 100 percent of staff with training and the entire time the clock is ticking, there is no pause on the clock. >> our office legal strategy to figure out that we could through the federal government and the actual lawsuit itself, was a important part in

allowing the facilities to not transfer any resident out of the facility and also to buy additional time and funding for another year to allow the facility to do all the important changes that are necessary to resociety in medicare and medicaid. the settlement agreement didn't just expend the funding and the pause on transfers, it also set out fairly stringent requirements for improvements that laguna honda had to do. cms and cdph survey the survey which means they inspect the facility. any sort of interpretation and advice around the surveys, around inturperateing the laws and regulations that applied to the facility, we were all-- >> after each survey we had, we identified gaps in knowledge that

needed to be closed before our next monitoring survey. the turn around was pretty intense, but we had to do it because of the timeline with the recertification, and we had 1300 staff on average go through different modules. everyone has a role in this building to help contribute to the best care of our residents. kitchen staff, security, people who are not traditionally thought of in skilled facilities who are a huge support to all the clinical care and it was really exciting to watch the whole community come together. >> the relationships with our federal and state partners, the center and medicare and medicaid service and department of public health, so important. the open lines of communication we had with them from the very beginning is going to serve laguna honda very well in the long-term success.

>> congratulations to teams from department of public health and city attorney office for leading the fight to save laguna honda hospital. >> together you helped secure the future of a critical piece of our healthcare safety net. >> we celebrate front line staff and union partners mptd >> we are in ah of your and responding to a challenging situation can such grace, compassion and tenacity. >> gratitude to residents and their loved ones throughout recertification. >> the future is bright for laguna honda hospital. >> congratulations! >> after my fire in my apartment and losing everything, the red cross gave us a list of agencies in the city to reach out to and

i signed up for the below-market rate program. i got my certificate and started applying and won the housing lottery. [♪♪♪] >> the current lottery program began in 2016. but there have been lot rows that have happened for affordable housing in the city for much longer than that. it was -- there was no standard practice. for non-profit organizations that were providing affordable housing with low in the city, they all did their lotteries on their own. private developers that include in their buildings affordable units, those are the city we've been monitoring for some time since 1992. we did it with something like

this. where people were given circus tickets. we game into 291st century in 2016 and started doing electronic lotteries. at the same time, we started electronic applications systems. called dalia. the lottery is completely free. you can apply two ways. you can submit a paper application, which you can download from the listing itself. if you apply online, it will take five minutes. you can make it easier creating an account. to get to dalia, you log on to housing.sfgov.org. >> i have lived in san francisco for almost 42 years. i was born here in the hayes valley. >> i applied for the san francisco affordable housing lottery three times. >> since 2016, we've had about

265 electronic lotteries and almost 2,000 people have got their home through the lottery system. if you go into the listing, you can actually just press lottery results and you put in your lottery number and it will tell you exactly how you ranked. >> for some people, signing up for it was going to be a challenge. there is a digital divide here and especially when you are trying to help low and very low income people. so we began providing digital assistance for folks to go in and get help. >> along with the income and the residency requirements, we also required someone who is trying to buy the home to be a first time home buyer and there's also an educational component that consists of an orientation that they need to attend, a

first-time home buyer workshop and a one-on-one counseling session with the housing councilor. >> sometimes we have to go through 10 applicants before they shouldn't be discouraged if they have a low lottery number. they still might get a value for an available, affordable housing unit. >> we have a variety of lottery programs. the four that you will most often see are what we call c.o.p., the certificate of preference program, the dthp which is the displaced penance housing preference program. the neighborhood resident housing program and the live worth preference. >> i moved in my new home february 25th and 2019. the neighborhood preference program really helped me achieve that goal and that dream was

with eventually wind up staying in san francisco. >> the next steps, after finding out how well you did in the lottery and especially if you ranked really well you will be contacted by the leasing agent. you have to submit those document and income and asset qualify and you have to pass the credit and rental screening and the background and when you qualify for the unit, you can chose the unit and hopefully sign that lease. all city sponsored affordable housing comes through the system and has an electronic lottery. every week there's a listing on dalia. something that people can apply for. >> it's a bit hard to predict how long it will take for someone to be able to move into a unit. let's say the lottery has happened. several factors go into that and mainly how many units are in the project, right. and how well you ranked and what

preference bucket you were in. >> this particular building was brand new and really this is the one that i wanted out of everything i applied for. in my mind, i was like how am i going to win this? i did and when you get that notice that you won, it's like at first, it's surreal and you don't believe it and it sinks in, yeah, it happened. >> some of our buildings are pretty spectacular. they have key less entry now. they have a court yard where they play movies during the weekends, they have another master kitchen and space where people can throw parties. >> mayor breed has a plan for over 10,000 new units between now and 2025. we will start construction on about 2,000 new units just in 2020. >> we also have a very big

portfolio like over 25,000 units across the city. and life happens to people. people move. so we have a very large number of rerentals and resales of units every year. >> best thing about working for the affordable housing program is that we know that we're making a difference and we actually see that difference on a day-to-day basis. >> being back in the neighborhood i grew up in, it's a wonderful experience. >> it's a long process to get through. well worth it when you get to the other side. i could not be happier. [♪♪♪]